NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
Week 9: Grand Rounds Discussion-Older Adult
Rebekah Vigileos
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II Practicum
Dr. Fletcher
7/31/22
Introduction
NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
, NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
This is a case presentation of a 65-year-old Philipino male who presented to the clinic for
medication management after exacerbation of psychotic symptoms after being discharged from
acute inpatient care after a 3-week hospitalization and did not keep taking his medication
Objectives:
1. Colleagues will be able to identify different scales used to access anxiety, depression, and
schizophrenia and use the information to help formulate a treatment plan based on the patient’s
symptoms.
2. Colleagues will be able to identify the DSM-5 criteria for Schizophrenia, bipolar with
psychosis, and brief psychotic disorder
3. Colleagues will be able to discuss options for treating patients experiencing psychosis at
home who refuse hospitalization and do not meet the criteria for inpatient hospitalization as they
do not present as a danger to themselves or others.
Subjective:
CC (chief complaint): “My husband hasn’t been taking his medications for 18 days”.
HPI: The patient is a 65-year-old male presenting for medication management for increased
hallucinations and delusions following his release from inpatient care 18 days ago. His wife is at
his side. She reports he was released 18 days ago following an inpatient hospitalization after
becoming aggressive, ringing the neighbor’s doorbell, and then assaulting them, and having to be
subdued by the police and taken to the emergency room. At that time, he was yelling, appeared
agitated, and delusional about the risk to himself and his wife from the neighbors. He has been
NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
Week 9: Grand Rounds Discussion-Older Adult
Rebekah Vigileos
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II Practicum
Dr. Fletcher
7/31/22
Introduction
NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
, NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
This is a case presentation of a 65-year-old Philipino male who presented to the clinic for
medication management after exacerbation of psychotic symptoms after being discharged from
acute inpatient care after a 3-week hospitalization and did not keep taking his medication
Objectives:
1. Colleagues will be able to identify different scales used to access anxiety, depression, and
schizophrenia and use the information to help formulate a treatment plan based on the patient’s
symptoms.
2. Colleagues will be able to identify the DSM-5 criteria for Schizophrenia, bipolar with
psychosis, and brief psychotic disorder
3. Colleagues will be able to discuss options for treating patients experiencing psychosis at
home who refuse hospitalization and do not meet the criteria for inpatient hospitalization as they
do not present as a danger to themselves or others.
Subjective:
CC (chief complaint): “My husband hasn’t been taking his medications for 18 days”.
HPI: The patient is a 65-year-old male presenting for medication management for increased
hallucinations and delusions following his release from inpatient care 18 days ago. His wife is at
his side. She reports he was released 18 days ago following an inpatient hospitalization after
becoming aggressive, ringing the neighbor’s doorbell, and then assaulting them, and having to be
subdued by the police and taken to the emergency room. At that time, he was yelling, appeared
agitated, and delusional about the risk to himself and his wife from the neighbors. He has been
NRNP 6675: Week 9 Grand Rounds Case Study on Schizophrenia
